PREVALENCE AND ASSOCIATED RISK FACTORS OF CYCLOSPORA CAYETANENSIS AND CYSTOISOSPORA BELLI INFECTIONS AMONG ADULT IMMUNE-COMPETENT PATIENTS WITH DIARRHEA ATTENDING MINIA UNIVERSITY HOSPITALS, EGYPT | ||||
Journal of the Egyptian Society of Parasitology | ||||
Article 3, Volume 51, Issue 1, April 2021, Page 17-22 PDF (858.9 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/jesp.2021.165930 | ||||
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Authors | ||||
AZZA K. AHMED1; MANAR M. SANADEKI1; REHAM A. M. ABD RABOU1; AMANY M. KAMAL1; WAEL M. ABDEL-GHANY2; MARWA G. ABDELREHIM3 | ||||
1Department of Medical Parasitology, Faculty of Medicine, Minia University, Minia, 61519, Egypt | ||||
2Department of Tropical Medicine and Gastroenterology, Faculty of Medicine, Minia University, Minia, 61519, Egypt | ||||
3Department of Public Health and Preventive Medicine, Faculty of Medicine, Minia University, Minia, 61519, Egypt | ||||
Abstract | ||||
The prevalence of emerging human intestinal protozoan pathogens in immune-competent adults was not clearly determined in Egypt. This study assessed the prevalence of Cyclospora cayetanensis and Cystoisospora belli and their associated risk factors in Minia Governorate, Egypt. Fecal samples were collected from 190 immunocompetent patients suffering from diarrhea with or without other gastrointestinal manifestations, from June 2018 to February 2019. Questionnaires for demographic and clinical data were filled out for each patient. Fecal samples were examined macroscopically and microscopically followed by modified Ziehl Neelsen stain to identify oocysts Cyclospora cayetanensis and Cystoisospora belli. 113 patients (59.5% with 95% CI, 52.5-66.5) out of 190 patients were infected with Cryptosporidium spp., Blastocystis spp., Entamoeba histolytica/dispar, Giardia intestinalis, Cyclospora cayetanensis, and Cystoisospora belli. Co-infection was detected in 22 cases (11.6%) and single parasitic infection was detected in 91cases (47.9%). Cyclospora cayetanensis was reported in 19 cases (10%) While, Cystoisospora belli was detected in 3 cases (1.7%). Cyclospora cayetanensis and Cystoisospora belli infections were significantly associated watery diarrhea and higher consumption of unwashed fruit or vegetable with no role for animal contact in their transmission. The study result implicated that C. cayetanensis is an important cause of adult diarrhea. | ||||
Keywords | ||||
Egypt; patients; Cyclospora; Cystoisospora; Cryptosporidium; Blastocystis; Diarrhea | ||||
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